Clear and hassle-free advice for GPs

Doctors

Clear and hassle-free advice for GPs

Shipleys have been using their specialist knowledge in the healthcare sector for over 10 years. We act for GPs practices of all sizes from small single handed practices to larger partnerships and corporates, as well as Pharmacy linked GP practices, health clinics and consultants.

The health industry has seen a surge in growth in recent years, achieved against a back drop of challenges from fundamental reforms to the NHS. GPs need to be proactive with their business model and look to provide more of the advanced and enhanced services on top of essential services to maintain incomes and profitability.

Sections


GPs Principals and Practices

At Shipleys Tax we understand the specific needs of general practices and the partners involved. Fundamental reforms to the NHS mean GP practices need to continuously re-position themselves under the new system and be able to devote maximum time to administration of patient care. This is where our team can help by providing specialist knowledge on streamlining accounting and tax matters leaving GPs to concentrate on patient care.

Why do you need a specialist GP accountant?

• Knowledge of NHS general practice and the expert advice we provide can be instrumental
• Understanding how practices are funded (from global sum to QOFs ).
• Be familiar with the GP contract reforms, GMS statement of financial entitlements, PMS contracts and the NHS pension scheme.
• Be up to speed on practice based commissioning (PBC), APMS contracts and the developing primary care market.
• Deal competently and promptly with all taxation matters and with GPs’ superannuation.

Why us?

We aim to do more than produce the annual accounts and handle the partners’ tax affairs.

Personal service – you will deal with one particular partner and their same support team and not be passed around

Timely – the annual accounts will be prepared to agreed time scales and we will visit the practice to discuss

Prompt – we will deal promptly with routine queries, telephone calls and emails and advise on bookkeeping, cash flow and monitoring partners’ drawings without making additional charges.

Tax planning – we will discuss ways to minimise your overall tax liability and spot opportunities.

We have nationwide coverage and are happy to come and visit you.

Cost

What our basic annual fee covers:
• Annual accounts preparation.
• Meeting GPs to discuss draft accounts.
• Partnership tax return and tax computation..
• Advising on projected profits and tax liability.
• Dispensary accounts.
• Partners’ personal tax returns.
• GP certificate of NHS pensionable income.
• Ad hoc email and telephone queries
• Opportunities for tax planning for both business and personal affairs

We also advise on:

• VAT accounting.
• Setting up a limited company for non-NHS or locum income.
• Setting up a limited company social enterprise for PBC/APMS purposes.
• Handling HM Revenue & Customs’ investigation into the practice.
• Payroll
• NHS superannuation
• Specific tax planning strategies for reducing IHT, CGT and Stamp Duty


GP Locums, Registrars and Consultants

We have acted for GP Locums, Consultants and Registrars for many years and understand the needs of the medical profession.

As a GP Locum, Registrar or consultant you have very specific accounting and tax needs which may not necessarily be appreciated by a non specialist advisor.
What does the service include?

• Advising on employed vs self employed status and NIC implications
• Proactive advice on tax allowable business expenses, professional subscriptions and general tax planning for locums
• Advice on employing a spouse
• Preparation of annual Accounts and tax returns for HMRC
• Ad hoc telephone and email advice

As well as providing accounting and income tax advice we can also advise on the following areas:

• Incorporation of your business via a limited company
• Advice on tax treatment of superannuation
• Advice on completing superannuation certificates (GP solo, Forms A&B)
• Inheritance tax planning
• Property tax planning

We have nationwide coverage and act for GP Locums, Registrars and Consultants clients based throughout the UK.

Why us?

• Save you money – proactive services ensuring you are aware of tax savings
• Knowledge you can rely on – we have a wealth of tax expertise in the healthcare sector
• Planning – ensuring you are aware of tax liabilities and payment dates enabling you to plan your cashflow
• Peace of mind – we have many years of experience in dealing with the tax affairs of medical and hospital consultants
• Help you minimising risk of HMRC enquiry

Our fees start at £345 + VAT


Tax Planning for Doctors

Tax law never stands still and goal posts are always moving. It is crucial that you have the right adviser to guide you through the maze and help reduce your tax bill through legitimate and transparent means.

Shipleys Tax has a number of specialist tax advisers with wealth of experience in the medical sector who can talk to you about the many tax saving opportunities.

We always say the best tax planning is done before a major event in the business so seek advice early on in the lifecycle of a transaction. Some areas to consider:

• Buying or Selling a GP practice property – huge tax saving opportunities both personal and corporation tax (NB: patient lists cannot be sold)
• GP linked pharmacies – most tax efficient trading structures
• Reduce inheritance tax on death
• Reduce stamp duty land tax on buying
• Offshore tax planning advice for certain businesses
• Provide property development strategies
• Use of EIS/SEIS and corporate venture vehicles
• Use of LLPs and corporate partnerships
• Asset protection and preservation of wealth
• Estate planning and succession

Latest news & blogs…

Inheritance Tax (IHT) Planning – How proposed changes affects Non-Doms

Doctors Shipleys Tax Advisors

CONTINUING WITH OUR focus on people pondering a life overseas as the UK faces a period of socio-economic upheaval, combined with the increasing cost of living and increasing tax burdens, in today’s Shipleys Tax brief we have a quick look at the upcoming changes to much maligned non-Dom tax status.

What exactly is Non-Domicile (Non-Dom) Status in the UK?

Non-domicile, or non-Dom status, is broadly a rule that allows individuals who have their permanent home (domicile) outside the UK to benefit from favourable tax treatment. If you are a non-Dom, you can choose to be taxed on a “remittance basis”, meaning you only pay UK tax on the income and gains you bring into the UK, not on your worldwide income or assets.

Domicile of Origin and Tax Planning – Domicile of origin refers to a concept that a UK based person can have another country as their “domicile’, usually based on their father’s domicile if the parents are married or their mother’s if not. For tax purposes, having a non-UK domicile of origin was used to reduce Inheritance Tax (IHT) liabilities by excluding assets from UK tax. Accordingly, individuals with non-UK parents can utilise their “domicile of origin” to reduce their tax liabilities, especially regarding Inheritance Tax (IHT).

For tax purposes, having a non-UK domicile of origin was used to reduce Inheritance Tax (IHT) liabilities by excluding assets from UK tax.

Budget Changes and Their Impact

The UK government announced, quite belatedly, significant changes in the Spring Budget 2024, set to take effect from April 2025. These changes will replace the domicile-based system with a residence-based tax system. Under the new rules:

  • Abolition of Non-Dom Status – The concept of domicile will no longer determine tax liability. Instead, the tax regime will shift to a residence-based system. This means individuals will be taxed based on their UK residence rather than their domicile status​.
  • Four-Year Relief for New Arrivals – New UK residents will benefit from a four-year period where foreign income and gains are exempt from UK tax. This applies only if they have been non-resident for the previous ten consecutive tax years.

The concept of domicile will no longer determine tax liability. Instead, the tax regime will shift to a residence-based system.

  • Inheritance Tax (IHT) Changes – IHT will be based on residence rather than domicile. From April 2025, individuals who have been UK residents for more than ten years will be subject to IHT on their worldwide assets, not just UK assets. This includes assets held in trusts​.
  • Transitional Arrangements – Transitional reliefs include a 50% reduction in the taxable amount of foreign income for the 2025/26 tax year and a temporary 12% tax rate for repatriating previously unremitted foreign income and gains​.
  • Trusts – Foreign assets in some property trusts established before 6 April 2025 will remain outside the scope of IHT, but post-2025 trusts will follow the new residence-based rules​.

Implications for IHT Planning

Given these reforms, the client’s potential IHT exposure and planning strategies need careful reconsideration:

  1. Non-UK Assets and IHT:

Currently, non-Doms are only subject to IHT on UK assets. Post-reform, non-doms resident in the UK for over ten years will face IHT on their worldwide assets. This significantly broadens the IHT net and impacts estate planning strategies​.

  1. Residence-Based IHT:

For clients who have been UK residents for less than ten years, it is critical to understand the timing of their residency and how it will affect their IHT liability under the new rules. Planning should consider the ten-year residence rule to mitigate worldwide IHT exposure​.

  1. Use of Trusts:

Establishing certain trusts before April 2025 may still provide IHT protection for non-UK assets. However, post-2025 trusts will be subject to the new regime, making early planning crucial to enable taxpayers to organise their affairs.

  1. Foreign Income and Gains:

Utilising the transitional reliefs, such as the 50% tax reduction and the temporary repatriation facility, can optimise tax efficiency during the transition period. This may include moving assets before the new rules fully apply​.

Post-reform, non-doms resident in the UK for over ten years will face IHT on their worldwide assets. This significantly broadens the IHT net and impacts estate planning strategies​.

Conclusion

The abolition of the non-Dom regime and the shift to a residence-based IHT system from April 2025 represents a significant change in UK tax law. These reforms necessitate a thorough review of estate planning strategies to ensure tax efficiency and compliance with the new rules. Early planning and strategic use of transitional reliefs can help mitigate the impact of these changes.

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Leaving the UK – how to escape the taxman

Doctors Shipleys Tax Advisors

AS THE UK faces a period of socioeconomic upheaval, increasing tax burdens and the growing cost of living crisis, many are pondering a life beyond its borders. The allure of lower taxes, more affordable living or better opportunities can be compelling – but such decisions are, from a tax point of view, often more complex than they first appear.

In todays’ Shipleys Tax brief we look at why just becoming non-UK resident may not in itself be enough to escape the dreaded UK tax net. In some cases, the UK’s long of arm of the taxman can reach individuals who previously believed themselves as unaffected. This brief article aims to provide general guidance on the current and upcoming non-resident tax obligations that follow you abroad, the potential traps for the unwary, and some of the important tax considerations that need to be addressed when contemplating a move from the UK.

If classified as temporarily non-resident, any income or gains earned during this period may still be taxed in the UK upon their return, just as if it had been earned while resident…

The Temporary Non-Residence Trap

The UK tax system is widely known for its anti-avoidance measures, including the ‘temporary non-residence rules.’ These rules target individuals who leave the UK temporarily to take advantage of tax benefits abroad but plan to return. If classified as temporarily non-resident, any income or gains earned during this period may still be taxed in the UK upon their return, just as if it had been earned while resident. There are suggestions that that staying non-resident for at least six consecutive tax years is advisable to avoid this trap, however this is needs to be approached with caution. Planning your departure date carefully and ensuring you remain non-resident for at least six tax years to avoid being classified as temporarily non-resident is one of the factors HMRC will look at. For the best solution, work with a tax adviser to structure your income or asset disposals during the non-residency period.

Double Tax Treaties and Split-Year Treatment

The complexities of double tax treaties often come into play when individuals find themselves potentially liable for taxes in multiple jurisdictions. In such cases, they might benefit from these treaties’ provisions, which can offer relief from double taxation. Split-year treatment can occasionally divide the tax year between periods of residency and non-residency, though this requires strict adherence to qualifying criteria. Review your eligibility for double tax treaties and split-year treatment. Conducting a residency analysis before departure to maximise treaty benefits and reduce double taxation will offer greater certainty.

Income Tax and Capital Gains Tax (CGT): How the UK Tax Net Reaches Beyond Borders

Non-residents are generally taxed on UK-sourced income. Certain types of investment income from UK companies can often be disregarded for tax purposes, but rental income from UK properties is still taxable in the UK even when non-resident.

Non-residents are generally taxed on UK-sourced income. Certain types of investment income from UK companies can often be disregarded for tax purposes


In the ever-changing CGT landscape, non-residents who once enjoyed immunity from CGT on UK assets have faced new rules since 2015. From 2015, non-residents became taxable on UK residential property disposals. Further, since 2019, this tax extends to disposals of all UK land, including commercial property and indirect disposals through ‘property-rich’ entities. Before leaving the UK, assess all UK-sourced income streams and evaluate the tax implications of any property or business asset disposals. Consider restructuring assets to minimise future CGT exposure.

UK Property Ownership: Ties That Bind

Owning property in the UK makes you subject to various tax obligations. Renting out a UK property whilst abroad leads to income tax liabilities and filing of additional paperwork with HMRC. Although the main residence relief can help reduce CGT on your property, this is restricted by stringent residency and occupancy requirements and any non-qualifying tax years since 2015 could limit the available relief.

Furthermore, the basic 90-day occupancy test complicates matters, especially for individuals who spend significant time abroad. However, designating one property as your main residence and monitoring qualifying occupancy days will help secure main residence tax relief. Additionally, those abroad need to register with HMRC for the Non-Resident Landlord Scheme if renting out any UK property. Those owning UK properties via limited company have different set of obligations which is beyond the scope of this article.

Inheritance Tax (IHT): Domicile is (still) a Decisive Factor

Inheritance tax isn’t based on residency alone but on domicile, a deeper, often permanent connection to a location. Currently, non-domiciled (“non-dom”) individuals may only face IHT on UK assets unless they gain deemed domicile status after 15 years in the UK, subjecting their entire estate to IHT. Leaving the UK can reduce this exposure, but the deemed domicile rule extends the IHT net for three additional years after losing actual domicile status.

After the 2024 Spring Budget, significant changes were announced regarding the taxation of non-UK domiciled individuals. From April 2025, the existing non-dom regime will be replaced by a residence-based system. Under the new rules, inheritance tax (IHT) will apply to worldwide assets if a person has been UK resident for 10 years. Conversely, non-residents will remain liable for IHT on their non-UK assets for 10 years after leaving the UK. This significantly extends the scope of IHT compared to the current deemed domicile rules, which require 15 years of UK residency.

From April 2025, the existing non-dom regime will be replaced by a residence-based system.

Evaluate your domicile status well in advance and plan a strategy that reduces or delays IHT liability. Consider creating trusts or transfer assets strategically to minimise exposure.

Meticulous Tax Planning is crucial to mitigate upcoming changes

Going forward, there will be a consultation on moving entirely to the aforementioned residence-based system, which will also determine how trusts will be taxed. Foreign assets in certain property trusts settled before April 2025 will continue to follow the old rules, but any trusts created after that date will be subject to the new residence-based regime. Trustees will be taxed on assets if the settlor has been a UK resident for 10 years, or if they have resided in the UK in the past 10 years​.

Given these changes, it’s crucial to stay informed as further details emerge during the consultation process, and seek advice if you think your estate may be affected. Keep in mind that the final implementation may be influenced by the results of the next general election​.

For further assistance or queries, please contact us.

Leeds: 0113 320 9284

Sheffield: 0114 272 4984

Email: info@shipleystax.com

Please note that Shipleys Tax do not give free advice by email or telephone. The content of this article is for general guidance only and should not be considered as tax or professional advice. Always consult with a qualified professional before taking action.

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Spring Budget 2024 – National Insurance and Property Tax cuts

Doctors Shipleys Tax Advisors

The spring Budget delivers no surprises

IN WHAT WAS probably his last budget in the current parliament, the Chancellor of the Exchequer delivered his Spring Budget today. A timid affair with no real surprises, a symbol of a dying party on it’s last embers.

In today’s Shipleys Tax brief we look at some of the highlights and how it affects taxpayers.

Employees and self-employed

The expected 2% cut in the main rates of primary Class 1 and Class 4 NI was confirmed. From 6 April 2024, the rates will be as follows:

 Main rateRate above upper earnings/profits limit
Employees8%2%
Self-employed people6%2%

Disappointingly, there are again no changes to the rate or threshold applicable to employers.

Child benefit

The way that the high income child benefit charge operates has long been criticised, in particular the discrepancy that means that a family where each parent earns, say, just under the £50,000 withdrawal threshold can keep the full amount; but a single income household will lose the benefit if they earn more than £60,000.

The long-term solution offered will be to assess eligibility based on “household income”, but this will not be immediate. So in the meantime, from 2024, the withdrawal threshold will be increased to £60,000, and the rate of charge will be lower, at 1% for every £200 of excess income. This means that full withdrawal will not occur until adjusted net income is at £80,000.

Capital gains tax (CGT)

The current CGT rates applicable to gains made on disposals of residential property are 18% and 28%, depending on the individual’s level of income and the size of the gain. This compares to rates of 10% and 20% for other assets, e.g. listed shares. From 6 April 2024, the higher rate will be cut to 24%.

Note: The 18%/28% rates also apply to carried interest gains. Such gains will continue to be subject to these rates.

VAT Threshold

In a long awaited move, the VAT registration threshold will increase from £85,000 to £90,000 from 1 April 2024. The deregistration threshold will increase from £83,000 to £88,000.

Furnished holiday lets (FHLs)

The FHL rules treat short-term letting businesses in a similar way to trading businesses for the purposes of various tax reliefs (including business asset disposal relief), subject to availability and occupancy conditions being met. The FHL regime will be abolished from April 2025. Targeted rules will apply from 6 March 2024 to prevent a CGT advantage being gained via the use of unconditional contracts.

Stamp Duty Land Tax (SDLT)

Multiple dwellings relief will be abolished for transfers with an effective date falling on or after 1 June 2024. However, transfers where contracts have been exchanged on or before 6 March 2024 can still benefit from relief, subject to a number of conditions. This only applies to properties in England or Northern Ireland, as Scotland and Wales have their own devolved regimes.

Non-domiciled individuals

As predicted by this firm some last year, individuals that are UK residents but have a non-UK domicile (non-doms) can currently access a remittance basis which excludes foreign income and gains from the UK tax net unless they are remitted to the UK. Domicile is a general law concept. From April 2025, the non-dom status for tax purposes will be abolished. Instead, those arriving in the UK for the first time, or following a ten-year period of non-residence, will have a four-year foreign income and gains (FIG) regime, meaning they won’t pay UK tax on overseas income or gains for the first four years. The funds can be brought to the UK with no additional charges. After the end of the FIG period, tax will be paid on worldwide income and gains.

It is also intended that inheritance tax (IHT) will move to a residence-based system from April 2025. Details will be available following a consultation.

Other measures

  • A new UK ISA with an allowance of £5,000 per year will be introduced.
  • Personal representatives will no longer be required to seek commercial loans to pay IHT before applying for a grant on credit (from 1 April 2024).
  • SDLT first time buyers’ relief will be extended to those who purchase new leases under a nominee/bare trust arrangement from 6 March 2024.
  • The scope of agricultural property relief and woodlands relief will be restricted to UK property from 6 April 2024.

More to follow.

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  • info@shipleystax.com
  • 0114 272 4984
  • Wharf House, Victoria Quays,
    Wharf Street Sheffield,
    S2 5SY

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